| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,332 |
1,262 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
302 |
$19K |
| 87428 |
|
320 |
309 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
29 |
28 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
160 |
149 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
61 |
$1K |
| 80061 |
Lipid panel |
26 |
26 |
$943.99 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
40 |
40 |
$827.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
39 |
$809.39 |
| 81002 |
|
58 |
58 |
$118.60 |